Sybil Lucas, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A6824 Issued in NC

Practice address

5229 Appomattox Rd
Pleasant Garden, NC 27313-8202

Phone

(336) 674-2252

NPI assigned

Mar 28, 2019

Last updated

Mar 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1477014876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 SE INTERNATIONAL WAY STE 100",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972224628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5229 APPOMATTOX RD",
            "city": "PLEASANT GARDEN",
            "state": "NC",
            "postal_code": "273138202",
            "telephone_number": "336-674-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "SYBIL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A6824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keaton Community Services PLLC
• April Keaton, SLP
• Marvin Theadore Keaton III, MA, LCMHCS, LCAS,CSI
• Donald Eric Kropski, COTA/L
• Londry & Modlin XV DDS PLLC (Pleasant Garden Dental)
• Nicholas Thomas Aivars Lukasevics, PTA
• Karen Meadows, LCMHCA
• Midelu Incorporated (Pleasant Garden Drug Store)
• Katiuska Duarte Morgan
• Anya Murphy-Parker, LCSWA

• Physical Therapy Assistant in Pleasant Garden, NC
• Providers in Pleasant Garden, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.